My partner has cancer and takes heavy pain medication. Often, his back aches so that he's tempted to take extra medication. Some weeks ago, I began to use a small, three prong massager on his back, followed by a good rub with Capsaicin Pain Reliever Cream - 2 or 3 times a day. He feels so much better afterwards, and does not reach for a pain pill as quickly. It has certainly imporoved the quality of his daily life. I also use it on my wrist - as a crafter, my wrist and hand often get achy and the cream helps me too. I've used it for more than 6 months. My partner has used it for about 2 months. We are both pleased with the results.